Can I be reimbursed for diabetes treatment? What to do?

Updated on healthy 2024-07-04
9 answers
  1. Anonymous users2024-02-12

    Diabetes Medicare can be reimbursed. The reimbursement rate for diabetes is:

    1. If the medical expenses are in the range of 0-40,000 yuan, then the medical insurance can reimburse about 85%;

    2. If the medical expenses are in the range of 40,000-80,000 yuan, then the medical insurance can reimburse about 90%;

    3. If the medical expenses are more than 80,000 yuan, then the medical insurance can reimburse about 95%.

    Medical Insurance ReimbursementThe reimbursement scope of urban medical insurance refers to all employers in urban areas, as follows:

    1. Including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);

    2. Organs, institutions, social organizations, private non-enterprise units and their employees must participate in basic medical insurance;

    3. Some cities and towns stipulate that township enterprises and their employees, owners of urban individual economic organizations and their employees should be gradually included in the scope of basic medical insurance (the last one is determined according to the different policies of each locality) and can enjoy medical reimbursement.

    The social insurance administrative departments, health administrative departments, social insurance agencies, social insurance premium collection agencies, financial departments, and auditing institutions shall handle reports and complaints within the scope of their own departments and institutions' responsibilities in accordance with law; Where it is not within the scope of the department's or institution's duties, it shall be notified in writing and transferred to the department or institution that has the authority to handle it. Departments and bodies that have the authority to handle it shall promptly handle it and must not pass the buck. Where social insurance benefits are obtained by fraud, falsification of supporting materials, or other means, the social insurance administrative department shall order the return of the social insurance money obtained by fraud and impose a fine of not less than two times but not more than five times the amount obtained by fraud.

    Article 27 of the Social Insurance Law of the People's Republic of China Individuals who participate in the basic medical insurance for employees who reach the statutory retirement age and whose cumulative contributions reach the number of years prescribed by the State shall no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If it is not reached, it can be paid until the number of years specified by the state.

    Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

  2. Anonymous users2024-02-11

    You can be reimbursed, you need to apply for medical treatment in a different place, you go to your place of insurance to apply, that remote medical treatment, and then go to the designated hospital in the place of residence, and then the other party will have a connection, and you can take these ticket groups to reimburse at that time. I wish you peace and success [heart] [prayer] [blessing] [blessing] [blessing].

    Ask what procedures are required.

    Diabetic patients who want to apply for medical insurance in a different place need to submit their ID card, diagnosis certificate, diagnosis case, unit certificate, apply for medical insurance in another place, and then go back for reimbursement [heart].

  3. Anonymous users2024-02-10

    Legal Analysis: Diabetes can be reimbursed by medical insurance. At present, most places also include diabetes in the scope of chronic diseases covered by medical insurance, but it should be noted that urban and rural medical insurance in each region has different regulations for diabetes drugs.

    Moreover, the specific reimbursement ratio is different, which needs to be decided according to the type of insurance and local policies.

    Legal basis: Social Insurance Law of the People's Republic of China

    Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

    Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

    The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

    Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

    1) It should be paid out of work-related injury insurance**;

    2) It shall be borne by a third party;

    3) It should be borne by public health;

    4) Seeking medical treatment outside the country.

    Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

  4. Anonymous users2024-02-09

    **If diabetes can be reimbursed, you need to submit your medical insurance card at the front desk of the hospital, followed by collecting the corresponding list of expenses during your hospitalization, and then you only need to pay the remaining expenses after the reimbursement of the total medical expenses when you are discharged.

    1. You need to go to the front desk of the hospital to submit your medical insurance card

    First of all, the party is hospitalized because of diabetes, and when he is hospitalized, he needs to submit his medical insurance card to the front desk staff of the hospital, which has the advantage that the front desk staff will transmit the corresponding medical insurance card information to the corresponding social security bureau, and then access to the digital system, so that the party can first and then reimburse during the hospitalization to accept the pertinence provided by the hospital for its own pertinence.

    2. During the hospitalization, you need to collect the corresponding list of expenses

    The second is that the corresponding expense list needs to be collected during the hospitalization, for the parties, the hospital will produce a lot of expense lists during their own hospitalization, mainly involving the cost list of some drug use, as well as the cost list of medical equipment use, and even the list of surgical expenses, some of which can be reimbursed, some of which cannot be reimbursed, and the purpose of collecting these can be used as the basis for reimbursement when discharged.

    3. When you are discharged from the hospital, you only need to pay the remaining expenses after the reimbursement of the total medical expenses

    In addition, when discharged, only the remaining expenses after the reimbursement of total medical expenses need to be paid, for the parties, because they usually pay medical insurance continuously, and the medical insurance has a certain degree of reimbursement for diabetes, so when discharged from the hospital, the patient provides his own list of medical expenses and then goes to the hospital's charging front desk to go through the discharge procedures, so that the amount paid is about 30% of the total medical treatment of normal knowledge.

    **Diabetes, Notes for Reimbursement:

    If you can provide your own electronic medical insurance card or until the medical insurance card is delivered to the staff at the front desk, then you can enjoy the service of medical treatment first and pay later, and you will be reimbursed when you are discharged.

  5. Anonymous users2024-02-08

    Diabetes is a chronic disease, so it can be reimbursed normally. When reimbursing, choose the chronic disease assistance on the medical insurance, so that there will be a very good reimbursement amount.

  6. Anonymous users2024-02-07

    It can be reimbursed, when we encounter this situation, we can take our own medical insurance to the hospital to solve this problem, it is very convenient to operate, and this disease belongs to chronic kidney disease.

  7. Anonymous users2024-02-06

    Of course, you can be reimbursed, if you have medical insurance, then you can be reimbursed, if you don't have medical insurance, you can't be reimbursed, you must leave the relevant receipts.

  8. Anonymous users2024-02-05

    Hello, dear and happy, I am happy to serve you: diabetes can be reimbursed, if the medical expenses are in the range of 0-40,000 yuan, then the medical insurance can reimburse about 85%. If the medical expenses are in the range of 40,000-80,000 yuan, then the medical insurance can reimburse about 90%.

    If the medical expenses are more than 80,000 yuan, then the medical insurance can reimburse about 95%. Diabetes can be reimbursed, diabetes is a chronic disease, the disease generally needs to go to the hospital diabetes department for consultation, the general cost of examination should not be very high, and many projects can be reimbursed. It is suggested that the current problems still need to be cautious and scientific**, and such diseases can be greatly controlled by combining their own choice of drug control, dietary health care, and sports health care.

    After the diabetes is discovered, it is necessary to go to a regular hospital for **, and the doctor adjusts it, and after the diabetes medication, you can go home to consolidate**. The goal is to lower blood sugar to the normal range and prevent complications. It is also necessary to cooperate with the diet, eat a reasonable diet, control weight, and increase exercise.

  9. Anonymous users2024-02-04

    Diabetes can be reimbursed, diabetes can be reimbursed, and the reimbursement procedure is mainly in line with the provisions of general medical insurance. Because diabetes can progress to chronic disease or severe kidney disease. However, before repaying, it is necessary to do a good job of chronic disease related verification.

    Reimbursement after chronic disease identification may be higher than for common illness. In addition, there is also an option for critical illness relief in diabetes. This high reimbursement can alleviate the high cost of hospitalization and medications** for diabetes.

    Diabetic patients should rest regularly, avoid high-sugar foods, and see a doctor in the hospital if necessary for further blood sugar checks.

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